RT Journal Article
T1 Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities
A1 Puigpinós-Riera, Rosa
A1 Marí-Dell'Olmo, Marc
A1 Gotsens, Mercè
A1 Borrell, Carmen
A1 Serral, Gemma
A1 Ascaso, Carlos
A1 Calvo, Montse
A1 Daponte, Antonio
A1 Domínguez-Berjón, Felicitas M
A1 Esnaola, Santiago
A1 Gandarillas, Ana
A1 López-Abente, Gonzalo
A1 Martos, Carmen M
A1 Martínez-Beneito, Miguel A
A1 Montes-Martínez, Agustín
A1 Montoya, Imanol
A1 Nolasco, Andreu
A1 Pasarín, Isabel M
A1 Rodríguez-Sanz, Maica
A1 Sáez, Marc
A1 Sánchez-Villegas, Pablo
K1 Neoplasias
K1 Disparidades en el estado de salud
K1 Teorema de Bayes
K1 Población urbana
K1 España
K1 Estudios transversales
AB BackgroundIntra-urban inequalities in mortality have been infrequently analysed in European contexts. The aim of the present study was to analyse patterns of cancer mortality and their relationship with socioeconomic deprivation in small areas in 11 Spanish cities. MethodsIt is a cross-sectional ecological design using mortality data (years 1996-2003). Units of analysis were the census tracts. A deprivation index was calculated for each census tract. In order to control the variability in estimating the risk of dying we used Bayesian models. We present the RR of the census tract with the highest deprivation vs. the census tract with the lowest deprivation. ResultsIn the case of men, socioeconomic inequalities are observed in total cancer mortality in all cities, except in Castellon, Cordoba and Vigo, while Barcelona (RR = 1.53 95%CI 1.42-1.67), Madrid (RR = 1.57 95%CI 1.49-1.65) and Seville (RR = 1.53 95%CI 1.36-1.74) present the greatest inequalities. In general Barcelona and Madrid, present inequalities for most types of cancer. Among women for total cancer mortality, inequalities have only been found in Barcelona and Zaragoza. The excess number of cancer deaths due to socioeconomic deprivation was 16,413 for men and 1,142 for women. ConclusionThis study has analysed inequalities in cancer mortality in small areas of cities in Spain, not only relating this mortality with socioeconomic deprivation, but also calculating the excess mortality which may be attributed to such deprivation. This knowledge is particularly useful to determine which geographical areas in each city need intersectorial policies in order to promote a healthy environment.
PB Biomed Central
YR 2011
FD 2011-01-13
LK http://hdl.handle.net/10668/272
UL http://hdl.handle.net/10668/272
LA es
NO Puigpinós-Riera R, Marí-Dell'Olmo M, Gotsens M, Borrell C, Serral G, Ascaso C, et al. Cancer mortality inequalities in urban areas: a Bayesian small area analysis in Spanish cities. Int J Health Geogr. 2011 Jan 13; 10:6
NO This paper forms part of the PhD dissertation of Rosa Puigpinós I Riera in the Doctoral Programme in Public Health, University of Barcelona.
DS RISalud
RD Apr 18, 2025